Objectives To determine the value of breast imaging in patients with localised or diffuse pain in the breast in whom physical examination shows no abnormalities.
Design Observational follow up study.
Setting Radiology department of a teaching hospital in the Netherlands.
Subjects Altogether 987 women referred for radiological breast imaging because of pain alone and a control group of 987 asymptomatic women referred for a screening mammogram.
Main outcome measures Correlation of the radiological findings with clinical and pathological findings over two years of follow up.
Results Radiological examination of the painful breast (s) showed the following : normal findings in 854 (86.5%) women, benign abnormalities in 85 (8.6% ; mainly small cysts or mastopathy), abnormalities that were probably benign in 36 (3.6%), suspicious findings in 8 (0.8%), and malignancy in 4 (0.4%). Biopsy of the painful area was performed in 1 0 of the 939 women with normal findings or benign abnormalities, in two of 36 women with radiological abnormalities that were probably benign, and in all women with suspicious or malignant findings.
Only the four lesions that had been classified radiologically as malignant were found to be malignant at surgery.
The prevalence of breast cancer was similar in symptomatic and control women. (...)
Mots-clés Pascal : Glande mammaire, Douleur, Etude longitudinale, Mammographie, Dépistage, Etude comparative, Exploration clinique, Incidence, Femelle, Classification morphologique, Homme, Pays Bas, Europe, Glande mammaire pathologie, Radiodiagnostic
Mots-clés Pascal anglais : Mammary gland, Pain, Follow up study, Mammography, Medical screening, Comparative study, Clinical investigation, Incidence, Female, Morphological classification, Human, Netherlands, Europe, Mammary gland diseases, Radiodiagnosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0028018
Code Inist : 002B24A08. Création : 31/05/1999.